Individual
CAROLYN KWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
279 MAIN ST, NEW PALTZ, NY 12561-1623
(845) 255-2930
(845) 255-3089
Mailing address
396 BROADWAY, KINGSTON, NY 12401-4626
(845) 802-7600
(845) 338-0307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
319637
NY
Other
Enumeration date
04/18/2019
Last updated
09/29/2022
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